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JOURNAL OF ORGANIZATIONAL PSYCHOLOGY
Culture: The Unexpected Key to Exemplary Primary Care
Author(s): Erin E. Sullivan, Sophia D. Arabadjis, Jessica L. Alpert, Andrew L. Ellner
Citation: Erin E. Sullivan, Sophia D. Arabadjis, Jessica L. Alpert, Andrew L. Ellner, (2018) "Culture: The Unexpected Key to Exemplary Primary Care," Journal of Organizational Psychology, Vol. 18, Iss. 5, pp. 108-120
Article Type: Research paper
Publisher: North American Business Press
Abstract:
Health care organizations achieve better outcomes at lower cost where known advances in primary care have been implemented. With few exceptions, primary care in the US has been unsuccessful in implementing these advances. We conducted eight case studies of exemplar primary care organizations to theorize best systems design in adverse conditions; we offer a cross-case analysis. Every study site had culture characterized by 1) trusting, long-term relationships; and 2) power, responsibility, and authority redistribution. Organizational culture may drive exemplary primary care; building cultures with identified traits may improve primary care outcomes and is actionable.
